Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
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Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
My own experiments on animals have shown me how rapidly fatal even
small quantities of chloroform are when injected into the circulation,
and a similar remark is equally applicable to sulphuric ether. A few
drops of these substances can very readily be injected into the
circulation with impunity;[30] but the quantity must not be increased
beyond a certain amount, far less than could possibly dissolve a single
grain of cholesterine, otherwise immediate death follows the operation,
by inducing a state of body closely resembling rigor mortis, from which
the animals never recover. I am, therefore, completely at a loss to
understand how these remedies can be of service in dissolving
gall-stones in the living body; and as I make it a rule as seldom as
possible to prescribe a remedy without a knowledge of its physiological
action, I have not yet ventured on an empirical trial of the effects of
sulphuric ether or chloroform administered internally in cases of
gall-stones. For some remarks on the passage of biliary calculi, see
page 123.
[Footnote 30: Vide the Author's paper on a new method of producing
diabetes artificially in animals, by the injection of
stimulants--alcohol, ether, chloroform, ammonia, &c.--into the portal
circulation. Comptes Rendus de la Societé de Biologie de Paris. 1853.]
{122} Taraxacum has been widely used in hepatic disease associated with
jaundice, and is believed to be particularly well adapted to cases
arising from congestion. As in such cases I generally trust to more
potent drugs, my experience with this remedy has been too limited to
admit of my offering an opinion of its value.
The majority of cases of jaundice from obstruction, are much less under
the power of remedial agents than those arising from suppression, for
we have here three distinct conditions to combat: Firstly,--The
derangements originating in the absence of bile from the digestive
canal. Secondly,--The morbid effects arising from its accumulation in
the ducts, and consequent interruption to the hepatic functions.
Thirdly,--The general poisonous action on the system, of the
re-absorbed bile.
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